PATRICIA A MOONEY (PSY.D.H.S.P.P) – Family Psychologist, NPI 1205007127

PATRICIA A MOONEY (PSY.D.H.S.P.P) is a healthcare provider. based in Valparaiso, Indiana. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.H.S.P.P. They hold a License No. 20041185A (IN). The NPI Number for PATRICIA A MOONEY (PSY.D.H.S.P.P) is 1205007127

Main info

Female
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
PATRICIA A MOONEY (PSY.D.H.S.P.P)
NPI
1205007127
Phone
(219) 462-1023
Address
3405 NORTH CAMPBELL ROAD
Enumeration Date
19 March 2008
Last Update Date
8 October 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2198793283
Graduation Year
1996 (30 years ago)
PAC ID
0749356335
Group Practice PAC ID
2062463185
Professional Enrollment ID
I20080905000026
Address ID
IN463603374MI340XXSQXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

450 CLINICAL PSYCHOLOGIST in IN

Provider Addresses for PATRICIA A MOONEY (PSY.D.H.S.P.P)

  • 3405 NORTH CAMPBELL ROAD

    VALPARAISO

    VALPARAISO, IN 46385

    Phone: (219) 462-1023

    Type: Location

  • 4860, Robb Street, Wheat Ridge, Jefferson County, Colorado, 80033, United States

    SUITE 201

    WHEAT RIDGE, CO 800332184

    Phone: (303) 278-7418

    Fax: (888) 341-5050

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-09-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080905000026IClinical PsychologistINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46385)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062463185View full group profile
NameSpecialtyState
Clinical PsychologistVA
Mental Health CounselorIN
-IN
Clinical Social WorkerIN
Mental Health CounselorIN
-IN

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Frequently asked questions

Can I verify PATRICIA A MOONEY (PSY.D.H.S.P.P) with an NPI only?
You can start verification with NPI 1205007127 for PATRICIA A MOONEY (PSY.D.H.S.P.P), then check state licensing separately.
Is PATRICIA A MOONEY (PSY.D.H.S.P.P) listed as active for patients and plans?
The listing shows PATRICIA A MOONEY (PSY.D.H.S.P.P) as active in the NPI system.
What is PATRICIA A MOONEY (PSY.D.H.S.P.P)'s primary classification?
Family Psychologist is the headline specialty for PATRICIA A MOONEY (PSY.D.H.S.P.P) here. Clinical services aligned with this taxonomy classification.
Where is PATRICIA A MOONEY (PSY.D.H.S.P.P) based?
PATRICIA A MOONEY (PSY.D.H.S.P.P) is tied to Valparaiso, Indiana in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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